Tatiana L Hernandez MD PA

NPI #1164601191 in Trinity, Florida

Provider Information

NPI Number: 1164601191
Entity Type: Organization
Organization Name: Tatiana L Hernandez MD PA
Primary Specialty: Clinic/Center - Primary Care
Enumeration Date: Oct 26, 2007
Last Updated: Jan 27, 2015

Practice Location

Address: 3633 LITTLE RD
Address 2: SUITE # 103
City: Trinity
State: Florida
ZIP Code: 34655-1815
Phone: (727) 853-1800

Authorized Official

Name: MR. JOSE DAVID HERNANDEZ
Title: OFFICE MANAGER
Phone: (727) 853-1800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Primary Care — Primary Care	261QP2300X	Primary

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